| NPI | 1043690563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 11473) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC 11473) |
| Enumeration Date | 2015-06-01 |
| Last Update Date | 2025-07-10 |